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01-04-2019 | Local Anesthesia in Dentistry | Spinal Neuroradiology

Symptomatic Schmorl’s nodes: role of percutaneous vertebroplasty. Open study on 52 patients

Authors: Nicolas Amoretti, Sylvain Guinebert, Adrian Kastler, Federico Torre, Olivier Andreani, Pauline Foti, François Cornelis, Nicolas Theumann, Olivier Hauger

Published in: Neuroradiology | Issue 4/2019

Abstract

Purpose

To assess the feasibility and clinical outcome of combined CT and fluoroscopy-guided percutaneous vertebroplasty in the management of painful Schmorl’s nodes (SN).

Methods

A prospective study was carried out from January 2014 to January 2016 in 52 consecutive patients. Thirty-two men and 30 women aged between 42 and 88 years old were consecutively included. Technical success was defined as the ability to deposit cement in the subchondral endplate anteriorly, around the SN and posteriorly to the SN, in a cupule-like shape. Data regarding procedure time, amount of cement injection, and cement leakage were also noted. Assessment of pain was performed with VAS score and Oswestry disability index. All patients underwent a clinical and radiological follow-up at 1 day, 1 month, 6 months, and 1 year after procedure.

Results

Technical success was 100%. Mean procedural time was 15 min, and mean injected cement volume was 2.8 mL. The VAS and Oswestry disability index decreased respectively from 7.2 ± 1.5 to 2.1 ± 1.0 and from 59.2 ± 16.2 to 17.1 ± 5.0 at 1 month. Follow-up mean VAS scores were 2.4 (± 1.4) at 6 months and 2.2 (± 1.2) at 12 months.

Conclusion

PVP appears as a feasible procedure in patients with painful SN with satisfying pain decrease in the following year after procedure.

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Title: Symptomatic Schmorl’s nodes: role of percutaneous vertebroplasty. Open study on 52 patients
Authors: Nicolas Amoretti
Sylvain Guinebert
Adrian Kastler
Federico Torre
Olivier Andreani
Pauline Foti
François Cornelis
Nicolas Theumann
Olivier Hauger
Publication date: 01-04-2019
Publisher: Springer Berlin Heidelberg
Keywords: Local Anesthesia in Dentistry
Back Pain
Back Pain
Back Pain
Published in: Neuroradiology / Issue 4/2019
Print ISSN: 0028-3940
Electronic ISSN: 1432-1920
DOI: https://doi.org/10.1007/s00234-019-02171-7

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Symptomatic Schmorl’s nodes: role of percutaneous vertebroplasty. Open study on 52 patients

Abstract

Purpose

Methods

Results

Conclusion

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Purpose

Methods

Results

Conclusion

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